Method of surgical treatment of posttraumatic BREAK FREE EGG autograft parietal layer of the tunica vaginalis EGG

摘要

1. A method of surgical treatment of traumatic rupture egg free autograft parietal leaflet of the tunica vaginalis testis, comprising removing non-viable tissues, the restoration of tissues scrotum, drainage and suturing the surgical wound, characterized in that after the manual operate anasteziologicheskogo layerwise opening cavity of the tunica vaginalis testis injured, the liquid is removed blood and blood clots, and svobodnolezhaschie necrotic tissue, injured testicle mobilize with ne intersection Gunter ligament guide and dislocating in the incision, operate revision injured testis and spermatic cord, and then operate economical resection prolapsing into the wound nonviable parenchyma eggs, after which the dimensions of the defect tunica albuginea eggs from a parietal layer of the tunica vaginalis cut out flap for creating a free graft, whose dimensions exceed the dimensions of the defect tunica albuginea testis of 5-10 mm, then free autograft turned 180 ° and the loser vayut its outer surface inwardly towards the anatomical testicular parenchyma on a surface defect tunica albuginea testis, autograft fixed tension without discontinuity along the perimeter of the tunica albuginea testis separate interrupted sutures 3-4 mm long thread of a resorbable material atraumatic needle puncture of the indented edge discontinuity at 2- 3 mm, the suturing operation ends remaining on the egg shells Winckelmann, drainage bed damaged eggs silicone drainage through a separate puncture length of 5 mm at the bottom of mo